Vestibular migraine: Diagnostic criteria

This paper outlines the diagnostic criteria for vestibular migraine. These criteria were developed by the Bárány Society and the International Headache Society. The classification includes vestibular migraine and probable vestibular migraine. Vestibular migraine will be included in the upcoming third edition of ICHD. This is a significant step in recognizing new migraine entities. Probable vestibular migraine may be added in future ICHD editions. The diagnosis relies on recurrent vestibular symptoms and a migraine history. A temporal link between vestibular and migraine symptoms is essential. Other causes of vestibular symptoms must be excluded. Symptoms qualifying for vestibular migraine diagnosis include various vertigo types. Head motion-induced dizziness with nausea also qualifies. These symptoms must be moderate to severe in intensity. Acute episodes should last between 5 minutes and 72 hours. This framework helps standardize diagnosis and improve patient care in vestibular migraine. Clinical relevance: This research establishes clear diagnostic criteria, enhancing accurate identification and treatment of vestibular migraine.